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yep, for some it's a big deal so learn it *LOL*

Posted By: can be used as noun, adjective, etc...sm on 2006-10-11
In Reply to:

The patient will be seen for followup in a week.


Followup one week.


The patient came in for follow up of her acne. (I believe this can be hyphenated to follow-up.) 


The patient will be seen for followup care in a month. (This, too, some MTs hyphenate to follow-up but I do not.)


The BOS has this very issue - Book of Style by the AAMT 2nd edition  - discussed in it. 


 





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    You dont have to * learn to deal with it * - sm

    If you feel you are being taken advantage of, then ask for more money... 1 cent or 1/2 cent....whatever you choose.  The worst that happens is you get refused.  But you will never know if you can make more if you don't ask.


    My advice would be not to make it a situation of * pay me more or i'm out of here*.  I am an IC and I have asked for 1/2 cent raise about 4 times.  Three times I got it and the last time they just said they could not afford to pay me that much right now.  I will give them about a year and then say "can we go 1/2 cpl higher?"  If so, then great.  If not, then I am still happy and do not feel I am being taken advantage of.


    I have worked where I felt taken advantage of.  When it got to me enough, I turned in my resignation and went elsewhere.  Never regretted it.


    BTW....if you get rid of this account that is paying you 12 cpl, maybe you could auction it off here on the board...hundreds of MTs here (i'm sure) would love to take it!


    when you marry a man with children, they are part of the package. You learn to deal with it.
    nm
    It is an okay deal - TR 11 font is small. Not as good a deal as Courier.
    Personally, I would have to think really hard and compare reports and line counts, like the other poster below suggested, before I would jump right into it. It is probably 75-80 characters to a line +/- the single character lines you get for initials, and 2 word lines you get with op reports such as Surgeon:
    IV Fluids:
    Anesthesia:
    etc.

    It probably is comparable to 9 cpl with a larger font.

    Good luck in whatever you decide.


    Good Luck!
    anyone watch deal or no deal?

    I love Deal or No Deal.......nm

    learn something new every day - thanks
    See - learn something new every day. Thanks. I just knew about some laws passed locally last year on a city/county basis.
    Did you learn
    on the job, or were you taught by a friend, or self-taught?

    Most of those tests nowadays are geared toward grads of official MT programs.
    Learn something new every day don't
    you.   A consult is similar in format to an H&P, but 2 different things - for example, an elderly patient with diabetes breaks a hip and needs surgery.   Most likely they are admitted to ortho, but need an endocrine of internal medicine consult to determine if diabetes is stable enough for surgery and no other medical problems that might be a contraindication to surgery, or need treatment prior to surgery. 
    You will never learn to do them...
    unless you tackle them head on. You do what you can with the report, and you do what you can with the next report. You cannot avoid difficult dictations. If you don't learn to do them, you will never make any money and will probably get into trouble for abandoning too many reports.
    Why would anyone want to learn it???
    nm
    Learn something new every day...sm

    Outlook and outlook express are two different things I guess.  I never knew this, but that's what I am being told.  Outlook has a calendar option but outlook express does not.  Very interesting indeed.  Let me know if you all hear anything different from this. 


    Thanks for all your help.  I have decided to try the yahoo calendar for free and see how that works.  So far, it's perfect!  Thanks for the info everyone! 


    thats it! You have to learn the sm
    hard way to understand. For my own personal experience, I have gone through a horrible illness and I know more than ever the importance of medical records that are perfect. I have seen some really bad stuff out there in medical records, my own included that not only is a disgrace but downright dangerous! I have always done my job with the idea that there is a patient behind all of this and they deserve the best we can give them. With all the ruckus about the state of our health care system these days, why would any MT not understand that this is not about us and lines typed and cpl etc. ITS ABOUT THE PATIENTS!!!!!!!!! you are right, the money comes later. Its a career long learning experience, one that I hope never ends on the learning part. Sounds to me like you have also been through enough life to understand all of this. The younger ones won't get it until they have been at this for many years. The only problem is, with some of the attitudes of "I won't do this and I won't do that" they won't be in the business years from now!
    I am about where you are I think. There is just always something new to deal with and it just gets
    worse and worse. Every new thing they implement just seems to make my job more difficult and ends up costing me money. I am thinking of just going very part time and then looking for something else. I have a feeling a lot of people are doing this.
    I don't know what the big deal is.
    When I've had "regular" in office type jobs, I've been subject to a criminal check. All it seems to be, however, is a standard form they send to the local sheriff's office. I had a mickey mouse job in bank operations last year, no access to anything confidential or cash, and I had to be photographed, fingerprinted, drug tested, credit and background checked.

    Now that I am an MT, I am amazed at how easy it is to get hired and gain access very quickly to facilities, doctors, patients and their information. All I had to do was pass a transcription test and supply a SS#. Yeah, I'm sure the big national I'm with probably ran some type of credit check; but it was still a heck of a lot easier than getting that job in bank or any other job I've had for that matter.
    Why it isn't a big deal
    MQ MTs (of which I am an ex) have an option.....find a decent company who can provide a consistent work flow or just deal with MQ and quit whining!  Our neighbors to the South have no choice, not only have many lost everything they own, they have also lost their jobs.  Reflecting on THAT, those of us fortunate to have been spared really have very little to whine about doncha think?? 
    Same here. What is the big deal?
    x
    Unless you want to deal with
    maladjusted adult children for the rest of your life, who have very little to offer you because they can't figure out how to live a good life, if I were you, I'd get out of there tomorrow. Don't worry, you won't have to explain to him. He probably can't believe he has met a woman who would accept that type of behavior. It will not come as a surprise to anyone that you leave.

    Yeah yeah, there were some good times mixed in there somewhere but they are canceled out the moment he treated your daughter with disdain. Your allowing it just proved to her she is an unworthy person. The one child who might take care of you when you get old is going to not be there for you (and believe me, you will need her).


    if you can deal with it...sm
    for a while and it pays your bills, take it, at least until something else comes up. it seems you have more pluses than negative right now. good luck

    what is the big deal?
    It directly specifically answered the original question and is a direct link to the credentialing body without naming names or bashing anyone?
    what's the big deal ?
    remember that some day when YOU need a favor.
    same deal here
    same deal, it works well in radiology where there are so many normal reports.  i think its a cost saver in the long run for the facility but when the docs are training on it, if it learns something wrong, it stays wrong, so the docs are not big fans, esp older ones
    Exactly! What's the big deal?
    Why would anyone be offended by that?
    What was the deal with her....sm
    sprawled out on stage like that while singing? At least she wasn't humping the stage like a couple of weeks ago but she didn't dress or act like one would when singing that type of song.
    I don't know if that is such a bad deal...
    Gas may be expensive and you may have to buy your own paper but really, is it such a big deal?

    Think about the perks of it. You transcribe for all the same doctors, so there is no "sneak attack" of the backlogged account that suddenly ends up in your queue and you have never worked before. You know the area and all the area doctors and facilities, so you don't have to spend all that time researching that elusive reference dropped casually in every report. You also do not have to deal with the headaches of your company's server being down, your DSL connection being interrupted for repair, or trusting your company to make sure all of your reports are being credited to the proper MT number so you are actually being paid for what you transcribe. You have also probably worked your drop-off route to hit the grocery store, post office, and bank, and everyone goes there anyway.

    Personally, I would see getting out of the house every day as part of my "paid" job a perk, because although I am pretty happy with my profession, sitting in front of a computer 8-10 hours a day can be pretty tedious. Besides all of that, I am struggling to break 3K a month.

    I would definitely do it.
    IF he will deal with it, that is best
    my sister married a man with 2 kids and she had 2 kids...all about the same ages. His son was a handful. I will never forget the Thanksgiving he was playing around at the table and set our great, great grandmother's tablecloth on fire. My sister looked at the fire and did nothing. I could tell she was MAKING herself do nothing (she may have had a Valium later, I don't know). Her husband put out the fire and took the boy out of the room. My sister still gets upset about that tablecloth, but today he is a pretty great kid and he respects my sister a lot.
    what's the big deal?
    What's the big deal about asking if anyone needs part time help or if anyone knows of anyone doing any part time hiring?
    ....just no big deal. nm
    s
    What is the deal with EHR anyway?
    I have never worked in a doctor's office or hospital, and if I had maybe I would understand better.  But I do not understand why the EHR being used in doctor's offices eliminates the need for outside transcription.  Do they just check a few boxes on a form to document the visit or do they have transcription done in the office?  I have done clinic transcription before, and some of the reports were very detailed, and I can't see how all that information could be documented without someone to type it.  It seems to me that if corners are being cut (and I understand offices think cutting transcription costs is a valid way to save money) that it will come back to bite someone sooner or later.  My doctor has just gone to the EHR, and while I was sitting there talking to him he was typing on the computer and could barely look at me.  (I think he was just printing out prescriptions and lab test requests for me).  Also I had several concerns, and he commented that I might have to schedule another visit.  His office is affiliated with a hospital now and I think they are only given so many minutes to see a patient.  I just think it is sad that the clock and saving a few dollars can determine patient care (although I do not see those savings being passed on to the consumer).   
    The big deal is
    the doctor obviously does not know how to write his own macro (i.e. create a set of instructions whereby the computer is instructed via a couple of Keystrokes produce sometimes lengthy text/formatting/special characters, etc.) and he wants her to just give him the one that she created.

    Obviously, he knows how he wants the document to read in the patients chart; what he is looking for is a way to lessen his workload, but he does not have the knowledge that he needs in this case.
    I don't really see the big deal...
    For goodness sakes.  If it wasn't for the doctors, we wouldn't have a job...  Why is everyone out to get the doctor?  Times change.  People move on.  No one really owes us anything.  I say give him the macros and charge him your line rate for them.  They are after all his dictation to begin with.  You simply transcribed them into your pc.  You didn't dictate them, the doctor did. 
    No, it's not a BIG deal but
    where I work we follow the BOS recommendations and abbreviate all units of measure that are accompanied by a numeral.
    It's a done deal...
    I don't work for a hospital--it's a medical clinic that houses many docs. The "green light" is in motion fot this to happen--it already is happening and the powers that be are pleased.
    I'm not sure you know the deal here
    This is a company that preys on offshore MTs, lures them in, gets them work (entire companies too not just individuals) and then pockets the money without paying them a dime. It's not exactly about just changing jobs for them. Should anyone figure out a way to legally go after this person, it'd be bad news. There's so much more involved than just not paying people. She tests for them with companies, has them sign in under specific information (her sign-in information) and gets their paycheck. Yes, she's a scam artist. She's not a boss.
    Learn from history

    and think very carefully about this person and his sob story. Boo hoo! 


    His child is cruel toward animals, chances are this child is being mistreated in some way by someone. This is a red flag that something in not right in this child's life regarding the adults. Children are NOT naturally violent--it is learned behavior.


    Be friendly, but takes things very, very slow and think of the safety of yourself, your children, and your pet (s). Better safe than sorry.


    newbie trying to learn

    I have recently finished an online medical transcription course.  I have been reading the posting on this website and I'm very intrigued by some of the information.   Not to sound stupid, but what are word expanders, auto correct, and shorthand?  I have macros on my computer, but I never used them.  I am trying to find my first medical transcription job, but it is very difficult as a newbie.  I would love to be a productive, accurate medical transcriptionist, but it seems that no one wants to give the newbies a chance.  Any thoughts of how to get started?  thanks!


    It is your job to learn the ESLs and if you can't/won't then you need to
    find a new job because you are in the wrong one.
    However, once you learn it, it's great!
    I averaged $21-23 an hour doing radiology, about $15-17 doing acute care. If I were to go back into transcription, it would be doing radiology.
    Thanks, i'd be interested to learn more

    welcome; love IT and sure you will too when you learn it. nm
    ;
    It depends on what you need to learn. Sm
    Right now I have a gal starting Sep. 1 who has absolutely no med. training whatsoever so we are starting from scratch. She is paying for textbooks, cd's, materials, etc. I am having her pay as she goes along. I am not making any profit on any materials, but when she gets to the transcription part, I will have to start charging minimally for my time. Not sure yet how to go about that.

    The second gal has some formal training and needs dictation practice and I am actually in the process of working with a company getting copies of microcasette tapes with approximately 800 minutes of dictation on them and will give those to my students.

    I have a few accts. myself so when my students show that they are ready to tackle digital dictation, I may consider "hiring" them in the future. Right now, our goal is to get them trained and ready with my help, and to be able to pass a co. test.

    I don't know where that box is to place my email address is and I don't want to post it in this spot. I will try to get my email available for anyone seriously considering getting into the field and being trained with an experienced MT who is willing to mentor them along the way to meeting their career goals.
    It was very frustrating to learn but

    after 3 months, I have grown to like it.... well maybe I have grown not to dislike it so much.  I would still rather work in MS Word.  It is NOT the best platform out there to be certain.  The spell check is awful and I copy everything into a Word document to double check.  You cannot copy back into Emdat though.  If there are any changes to make you must type them.  For some reason if you copy from Word, although it looks okay to you, on the physician's end it is wrong.


    It is nice not to have to worry about the line count.  It is VERY nice not to have to save each patient separately.  It is nice to have the patients name available (although that is not always the case).  Overall, I give it a C. 


    Hope this helped.


    I had to learn the same program sm
    Whether it is worth it - is only a question you can answer.

    Personally, the platform is so easy; however, I do not get the high line counts I am used to even with their expander. I am so used to working in a Word-based platform with over 5000 auto-correct entries. For me, the transition was not worth it. I could only average 240 lines per hour compared to my usual 350 - 400 lph.

    You have to realize, every one is different with different needs and wants.

    The packet of policies you mention really is no big deal. Just print them out and read them over and within a week you won't even look at them again. Starting any job is overwhelming at first, but then it becomes routine.

    I would suggest you give it a shot. You have nothing to lose and everything to gain.

    As for the ESL account, I have no idea which one that would be - mine is a good mix of all.
    Thank you! Learn something new everyday!
    .
    I like it. Once you learn it, it is easy.
    x
    Is this so you dont have to LEARN which is which?
    If so, no, theres no way.

    If you need a shortcut, just put the nongenerics in your Expander as capped. Put your others in like ddiphenhydramine and it will catch on spellcheck and you will know it is generic.
    Yes. Use MT while you learn something else. It's never too late. nm
    x
    Was very difficult to learn and there are
    still some things I cannot get the hang of. But, it is the only Expander I am permitted to use so had to bite the bullet after resisting for a few months. Takes about three months go use it effectively. Try using it for a few hours every day. When you get frustrated, close it and type everything out. On short-fuse days, skip it altogether. Over a few months, with this method, you will begin to develop speed and each new problem will be solved one by one so your line count will not get suffer greatly. Using IT requires doing a massive amount of reading initially. But, I have to say, I love it now (and am still learning how to use it six months into using it).
    That rate is better than most. You do learn

    the ESLs.  You just have to "train" your ears.  I remember my first day on my current account.  I had all ESLs and I had so many blanks and was so stressed, but now I would rather do these ESLs than some of my American docs.  I still have times when I will have a blank with these docs but it is rare.    When you get corrections back print them and keep a file for future reference and if you can relisten to the report once you get corrections and see if you can hear what they are saying this time. 


    Took me about a week to learn it. I sm
    forced myself to do it the IT way (using their marker keys), and started out using it 1 hour a day. I purchased mine at fitaly.com for full price. I have seen it used on ebay & here on the equipment board.
    because in med school they learn to be even
    cockier and they also learn how to dictate even faster. They also learn to pretend that everyone's physical exam is exactly the same no matter what their problem really is and, by the way, the Transcriptionist should know what that physical exam entails from the very first report. So, they all decided to save their money and just be a P.A. instead of an M.D.
    Where did you learn all these tricks?
    I have the program and have really not got into it too much yet, but the manual leaves a lot to be desired. It is very highly recommended so I intend to keep on trying. I bought it about a year and a half ago, and admit I finally gave up and put it on the back burner, but I really want to learn how to use it. I will add, though, that I have had a lot of trouble learning the tricks with Word, since I am on my own and having to teach myself.